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General NPI Number Information
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NPI Number | 1003790148
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Entity Type | Organization
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Legal Business Name | GOD FIRST WELLNESS CENTER LLC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 500 LANIER AVE W STE 908E
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7641
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Country | US
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Telephone | 404-273-3388
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Fax |
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Provider Business Mailing Address
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Address Line | 500 LANIER AVE W STE 908E
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7641
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Country | US
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Telephone | 404-273-3388
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | SAMURAT I ONI
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Credential | NP
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Telephone | 321-594-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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